Early Pharmaceutical Care Experiences 1

PREREQUISITES:           This course assumes a solid understanding of how to operate a
                                            personal computer and basic knowledge of how to access the
                                            Internet and use web browsers.

BULLETIN
DESCRIPTION:               This course integrates concurrent didactic coursework with
                                            professional socialization, process orientation, and practice of basic
                                            pharmaceutical care roles. Prescription simulations in the
                                            laboratory portion of this course develop students' ability to perform
                                            some of the dispensing functions required by law.

JUSTIFICATION:            Doctor of pharmacy students need to establish professional identity
                                           and learn the pharmaceutical care skills necessary for the dispensing
                                         of prescription products. The students need to learn these skills early
                                           in their curriculum so that they can apply and perfect these skills
                                           throughout courses and experiences to follow.

                                        2.    Obtain and interpret information regarding pharmacy internship in the state
                                                in which the student resides. When eligible and if applicable, students are to
                                                register as pharmacy interns in their respective states.

3. Identify pharmaceutical care roles and practice issues of various pharmacy practice sites.

4. Identify the information required by federal law to be on a prescription and a prescription
container label.

5. Process a prescription. This includes generating a prescription label, properly affixing the
label prior to dispensing, maintaining records, and filing the original prescription.

6. Demonstrate proper counting and packaging of solid dosage forms for dispensing.
Operate automated counting systems.*

8. Compound a prescription for capsules and determine the average weight of five capsules using
a Class A balance.*

10. Relate trade and generic names of the top 25 Rx only drugs to their use, usual dose and instructions
to patients.

11. Demonstrate interactive approach to verifying patient’s understanding of medication use.*

12. Advocate patient’s third party prescription filling problems with adjudication.

13. Demonstrate proper aseptic technique in the preparation of an intravenous admixture.*

14. Develop some appreciation of the challenges facing pharmacists in contemporary health care system.

* Web-based students will complete these objectives at site visits OR during summer laboratory sessions in PHA402, PHA320, or PHA334

Active Learning
Methods:                       Group discussions and experiential exercises with student demonstration of skills and
                                        techniques. Attend a meeting of a local, regional, state, or national professional meeting.

Grading:                        Based on acceptable performance of ALL course objectives.
                                      >   80 / 100 % Satisfactory
                                        <   79 / 100 % Unsatisfactory
                                                     Weighting: Completion of Assignments - 40%,
                                                     Class participation - 10%, and Final Exam – 50%.

Instructors: C. Curt Barr, Pharm.D. - On Campus
Anne Bruckner, R.P., B.S. - Web Based

Text(s):
                                                                           Remington The Science and Practice of Pharmacy, 20^th edition (selected readings)
                                       Pharmaceutical Care. C.H. Knowlton, R.P. Penna (selected readings)
                                       Online or printed Drug reference text--e.g. Drug Information Handbook, Facts and Comparisons, or the USPDI
                                     Nebraska statutes and regulations relating to pharmacy (available online)

The latest policies, including those regarding students with disabilities and misconduct can be found on
the School's web site at http://spahp.creighton.edu/acad_saffairs/policies.asp

. Each student is responsible for
becoming familiar with all of the latest policies.

Course Topics and Schedule (Subject to Change via Message Board on Course Community)

If you see

you must be connected to the internet

Lesson, Date	Topic(s)	Readings/Assignments*
1, 8/20	Introduction to the Course Boyne GO-9 Gary Cheloha, RP Executive Vice-President N.P.A. Instructor: Dr. Curt Barr, RP	Assignments for 8/27: Describe pharmaceutical care Define a profession by its attributes and describe why pharmacy is a profession Complete your personal medical record Readings for 8/27: *Pharmaceutical Care* Chapters 1 & 7 White Paper by APhA, NACDS, NCPA
2, 8/27	Pharmacist as a Professional Boyne GO-9 Instructors: Dr. Amy Schwartz, RP Dr. Curt Barr, RP	Assignments for 9/3: Review Palm software, Palm medical software , CU Center for Handheld Medical Computing and www.iscribe.com for PDA's Identify the basic requirements of the prescription Readings for 9/3: Identify who can prescribe The Scope of prescribing authority in Nebraska The Prescription Guidelines for use of Pharmacy Technicians Standards for Internship in Pharmacy in The State of Nebraska
3, 9/3	The Prescription Guidelines for use of Pharmacy Technicians and Pharmacy Interns Boyne GO-9 Instructors: Prof. Ron Hospodka, MS, RP Dr. Curt Barr, RP	Assignments for 9/10: Review Statues and Regulations Relating to Pharmacy Technicians and Pharmacist Interns http://statutes.unicam.state.ne.us/default.asp Readings for 9/10: The Prescription Container Label Automated Dispensing Systems Nebraska Pharmacists Association (N.P.A.) Technician Manual, Automated Dispensing Systems & Required Documentation
4, 9/10	Processing a Prescription Automated Dispensing Systems Boyne GO-9 Instructors: Prof. Ron Hospodka, RP Dr. Curt Barr, RP	Assignments for 9/20: Review Weights and measures, solid and liquid Answer Pharmaceutical Calculations Questions Answer Aseptic Technique Questions Cefazolin Sodium Questions Readings for 9/20: Introduction to Basic Compounding Skills Equipment Used in Compounding Composition of Matter (See Table of Contents Chapter 2) Buffered & Isotonic Soln. (See Table of Contents Chapter 4) Diffusion & Dissolution (See Table of Contents Chapter 6) N.P.A. Technician Manual, Basic Pharmaceutical Nomenclature, Routes of Administration Remington's Pharmaceutical Sciences, *Pharmaceutical Calculations* Pharmacy Calculations PHA 313,Aliquots Training Manual for Intravenous Admixture Personnel, 5th Edtion,1995,Max L Hunt & Vincente J Tormo, Editor, Precept Press Quality Assurance for Pharmacy-Prepared Sterile Products, ASHP How to Reconstitute Cefazolin Sodium IV Blood Borne Pathogens and Needle Stick Injuries, OSHA Healthcare Workers: Protecting Those Who Protect Our Health, INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, Vol. 18 (6), June 1997 Jane Lipscomb, RN, PhD; Linda Rosenstack, MD, MPH
5, 9/20	Section A Compounding Skills and Services Aseptic Technique OSHA Requirements Criss III Lab 358 Instructors: Dr. Kamal Jonnalagadda, PhD Dr. Ken Keefner, PhD, RP Dr. Phillip Vuchetich, RP Dr. Curt Barr, RP	Assignments for 9/27: See Assignments for 9/20 Readings for 9/27: See Readings for 9/20
6, 9/27	Section B Compounding Skills and Services Aseptic Technique OSHA Requirements Criss III Lab 358 Instructors: Dr. Kamal Jonnalagadda, PhD Dr. Ken Keefner, PhD, RP Dr. Phillip Vuchetich, RP Dr. Curt Barr, RP	Assignments for 10/4: See Assignments for 9/20 Readings for 10/4: See Readings for 9/20
7, 10/4	Section C Compounding Skills and Services Aseptic Technique OSHA Requirements Criss III Lab 358 Instructors: Dr. Kamal Jonnalagadda, PhD Dr. Ken Keefner, PhD, RP Dr. Phillip Vuchetich, RP Dr. Curt Barr, RP	Assignments for 10/8: Learn the top 25 drugs of 2001, including trade and generic names, use, category, standard dosage, incompatibilities and standard instructions to patients Readings for 10/8: Top 200 Drugs Top 25 Drugs of 2001 ePocrates for Personal Digital Assistant (PDA) N.P.A. Technician Manual, Drug Name Abbreviations, Pharmaceutical Symbols and Abbreviations, Weights and Measures, Roman Numerals, Basic Medical Terminology
8, 10/8	Top 25 Rx Only Drugs Terminology Boyne GO-9 Instructors: Dr. Frances Moore, RP Dr. Curt Barr, RP	Assignments for 10/22: Info Request & Reply to Prescriber Assignment (due 8am Monday) Drug Therapy Request Fax Form Readings for 10/22: Guidelines for Communicating with Physicians by Phone
10/14-10/18	Fall Break
9, 10/22	Prescriber Communications Boyne GO-9 Instructors: Dr. Frances Moore, RP Dr. Curt Barr, RP	Assignments for 10/29: Answer Consumer Advocacy Questions PBM Map Readings for 10/29: *Pharmaceutical Care* Chapter 3 Consumer Advocacy in Managed Care
10, 10/29	Third Party Prescription Process Boyne GO-9 Guest Speaker: Doug Pick, RP Instructors: Dr. Bob Garis, PhD, RP Dr. Curt Barr, RP	Assignments for 11/8: To be announced
11, 11/8	SectionC Final Meet in Criss III Dispensing Lab.358
12, 11/15	Section B Final Meet in Criss III Dispensing Lab.358
13,11/22	Section A Final Meet in Criss III Dispensing Lab.358
14	Thanksgiving Break
15	To be announced
12/9-12/13	Final Exam Week

*All assignments are due by 08:00 on the Monday before the scheduled class unless otherwise noted.